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Am J Perinatol 2022; 39(S 01): S18-S22
DOI: 10.1055/s-0042-1758487
Review Article

The Essentials about Neonatal Severe Acute Respiratory Syndrome Coronavirus 2 Infection and Coronavirus Disease: A Narrative Review

Daniele De Luca 
1   Division of Pediatrics and Neonatal Critical Care, “Antoine Béclère” Medical Centre, Paris Saclay University Hospitals, APHP, Clamart, France
2   Physiopathology and Therapeutic Innovation Unit-INSERM U999, Paris Saclay University, Le Plessis Robinson, France
,
Christelle Vauloup-Fellous
3   Division of Virology, “Paul Brousse” Hospital, Paris Saclay University Hospitals, APHP, Villejuif, France
,
Alexandra Benachi
4   Division of Obstetrics and Gynecology, “Antoine Béclère” Hospital, Paris Saclay University Hospitals, APHP, Clamart, France
,
Bianca Masturzo
5   Division of Obstetrics and Gynecology, Department of Maternal, Neonatal and Infant Medicine, Nuovo Ospedale Degli Infermi, Biella, Italy
,
Paolo Manzoni
5   Division of Obstetrics and Gynecology, Department of Maternal, Neonatal and Infant Medicine, Nuovo Ospedale Degli Infermi, Biella, Italy
,
Alexandre Vivanti 
4   Division of Obstetrics and Gynecology, “Antoine Béclère” Hospital, Paris Saclay University Hospitals, APHP, Clamart, France
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Abstract

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection can occur in neonates as the virus can be transmitted both horizontally (from the environment) and vertically (during the pregnancy or at the delivery). Compared to the adult outbreak, neonatal infections do not represent a public health problem. Nonetheless, severe and life-threatening cases may rarely occur and both obstetricians and neonatologists should have a good knowledge of perinatal SARS-CoV-2 infection and related consequences. A high suspicion index must be applied and ruling out neonatal SARS-CoV-2 infection must become a part of the routine clinical workout. Moreover, neonates may be affected by the multisystem inflammatory syndrome, due to a dysregulated host response in the absence of any SARS-CoV-2 infection. We performed a narrative review to summarize here the available literature describing the essentials that should be known by every neonatologist and obstetrician, starting from what has been discovered in 2020 and adding what has been learned in the following years. The paper describes the mechanisms of transmission, clinical features, diagnostic tools, and criteria, as well as possible treatment and prevention strategies. The goal is to provide the practical points to be remembered at the bedside while caring for a pregnant woman or a neonate with suspected or proven coronavirus disease 2019 or multisystem inflammatory syndrome.

Key Points

  • SARS-CoV-2 neonatal infections occur both vertically (30%) and horizontally (70%).

  • Approximately, half of patients do not have clinical manifestations; clinical and laboratory signs are similar to those of adults but usually milder.

  • Remdesivir and steroids can be used as a treatment.

Keywords

coronavirus - neonate - pregnancy - treatment - COVID-19


Publication History

Received: 17 May 2022

Accepted: 21 September 2022

Article published online:
10 November 2022

© 2022. Thieme. All rights reserved.

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